| NPI | 1073858379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH ANNE SIEMSEN ROTHGEB Manager 563-449-8153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 007585) |
| Enumeration Date | 2012-11-28 |
| Last Update Date | 2012-11-28 |